EVAN O JOHNSON DMD
NPI 1891756599
Dentist - General Practice in Idaho Falls, ID

Q: What is Evan Johnson's NPI number?

The NPI number for Evan Johnson is 1891756599. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Q: What is Evan Johnson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Evan Johnson was last updated on May 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 31, 2006PECOS Enrolled

1520 ELK CRK, IDAHO FALLS, ID 83404(208) 522-8854(208) 535-0551 Get Directions Write a Review

NPPES record last updated: May 19, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Evan O Johnson Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVAN O JOHNSON DMD (NPI 1891756599) is an individual general practice provider in Idaho Falls, Idaho, licensed in Idaho (D1853) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891756599

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameEVAN O JOHNSONCredential: DMD

Location Address1520 ELK CRKIdaho Falls, ID 83404-8322

Mailing Address1520 Elk CrkIdaho Falls, ID 83404-8322 · (208) 522-8854 · Fax (208) 535-0551

Phone(208) 522-8854

Fax(208) 535-0551

Sole ProprietorNo

Enumeration DateMarch 31, 2006

Last NPPES UpdateMay 19, 2015

✔ NPI 1891756599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in ID · D1853

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1520 ELK CRK, Idaho Falls, ID 83404

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Other Identifiers 1

Medicaid001263500ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evan O Johnson Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evan Johnson's NPI number?

The NPI number for Evan Johnson is 1891756599. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is Evan Johnson located?

Evan Johnson practices at 1520 Elk Crk, Idaho Falls, ID 83404. The listed phone number is (208) 522-8854.

What is Evan Johnson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Evan Johnson enrolled in Medicare?

Yes. Evan Johnson is registered in the Medicare PECOS enrollment system.

What insurance does Evan Johnson accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Evan Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Evan Johnson was last updated on May 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.